Individual
MRS. SERENA ISIDORA ACKERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSW, LCSW
Contact information
Practice address
175 E RIDGELINE WAY, NORTH SALT LAKE, UT 84054-3001
(801) 809-4911
Mailing address
175 E RIDGELINE WAY, NORTH SALT LAKE, UT 84054-3001
(801) 809-4911
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12158508-3501
UT
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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